Provider Demographics
NPI:1538281381
Name:HANSEN, CATHERINE (PHD, MP)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:HANSEN
Suffix:
Gender:F
Credentials:PHD, MP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 KEYSER AVE
Mailing Address - Street 2:NATCHITOCHES VA COMM. BASED OUTPATIENT CLINIC, STE. B
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-6037
Mailing Address - Country:US
Mailing Address - Phone:318-357-3311
Mailing Address - Fax:
Practice Address - Street 1:740 KEYSER AVE STE B
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-6037
Practice Address - Country:US
Practice Address - Phone:318-357-3311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA308876103TP0016X
LA714103TC0700X
LA714MP103TP0016X, 103TC0700X
LAMP.000714103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)